Principal Consultant (D365 Sales – Healthcare Payer)
Canvendor, Baton Rouge, LA, United States
Principal Consultant / Solution Architect (D365 Sales – Healthcare Payer)
Location: Baton Rouge, Louisiana (Onsite)
Type of Hire: Contract
Roles and Responsibilities
Strategic Advisory:
Lead business process transformation workshops to define the "To-Be" state for Payer sales organizations. Translate complex Payer business models (Individual, Group, Medicare/Medicaid) into D365 functional designs.
Solution Architecture:
Oversee the architectural integrity of the D365 Sales implementation, including complex integrations with legacy Claim Processing Systems (e.g., Facets, QNXT), Provider Data Management, and Enrollment engines.
Regulatory & Compliance Oversight:
Ensure all digital solutions adhere to
HIPAA, HITECH, and CMS
regulations. Define data residency and security protocols within the Dataverse to protect PHI/PII.
Thought Leadership:
Represent the organization as a subject matter expert in Healthcare CRM, contributing to white papers, industry conferences, and Microsoft’s inner-circle advisory boards.
Executive Presence:
Ability to challenge and influence C-level executives (CIO, CMO, COO) on digital strategy.
Required Domain Expertise (Healthcare Payer)
Payer Value Chain:
Deep knowledge of the Health Insurance lifecycle: Prospect-to-Card conversion, Broker/Agency Management, Group Sales/Underwriting support, and Renewal management.
Healthcare IT Ecosystem:
Strong understanding of Interoperability standards ( HL7, FHIR ) and how CRM integrates with Electronic Health Records (EHR) and Payer Core Administrative Processing Systems (CAPS).
Regulatory Knowledge:
Expert-level understanding of ACA (Affordable Care Act) requirements, Medicare Advantage sales cycles, and state-specific Medicaid compliance.
Technical & Functional Qualifications
15+ Years in Microsoft Dynamics:
A career spanning the evolution of Dynamics (from 4.0/2011 to modern D365 Cloud).
Functional Mastery:
Advanced configuration of D365 Sales, Power Automate, and Power Pages. Expertise in the
Microsoft Cloud for Healthcare
is highly preferred.
Defect & Quality Management:
Proven track record in "Straighten Defection" (Zero-defect delivery) through rigorous UAT, automated testing strategies, and robust DevOps pipelines.
Data Strategy:
Expertise in complex data migration from legacy CRM/Mainframe systems to D365, ensuring data integrity and historical continuity for member records.
Experience & Education
Project Portfolio:
Must have led at least 3–4 full-lifecycle D365 implementations for Top-50 US Health Plans or Global Payers.
Education:
Bachelor’s degree in healthcare administration, CS, or MBA.
Certifications:
Microsoft Certified: Dynamics 365 Sales Functional Consultant Associate and Power Platform Solution Architect Expert.
Seniority level Director
Employment type Contract
Job function Engineering, Management, and Project Management
Industries IT Services and IT Consulting
#J-18808-Ljbffr
Type of Hire: Contract
Roles and Responsibilities
Strategic Advisory:
Lead business process transformation workshops to define the "To-Be" state for Payer sales organizations. Translate complex Payer business models (Individual, Group, Medicare/Medicaid) into D365 functional designs.
Solution Architecture:
Oversee the architectural integrity of the D365 Sales implementation, including complex integrations with legacy Claim Processing Systems (e.g., Facets, QNXT), Provider Data Management, and Enrollment engines.
Regulatory & Compliance Oversight:
Ensure all digital solutions adhere to
HIPAA, HITECH, and CMS
regulations. Define data residency and security protocols within the Dataverse to protect PHI/PII.
Thought Leadership:
Represent the organization as a subject matter expert in Healthcare CRM, contributing to white papers, industry conferences, and Microsoft’s inner-circle advisory boards.
Executive Presence:
Ability to challenge and influence C-level executives (CIO, CMO, COO) on digital strategy.
Required Domain Expertise (Healthcare Payer)
Payer Value Chain:
Deep knowledge of the Health Insurance lifecycle: Prospect-to-Card conversion, Broker/Agency Management, Group Sales/Underwriting support, and Renewal management.
Healthcare IT Ecosystem:
Strong understanding of Interoperability standards ( HL7, FHIR ) and how CRM integrates with Electronic Health Records (EHR) and Payer Core Administrative Processing Systems (CAPS).
Regulatory Knowledge:
Expert-level understanding of ACA (Affordable Care Act) requirements, Medicare Advantage sales cycles, and state-specific Medicaid compliance.
Technical & Functional Qualifications
15+ Years in Microsoft Dynamics:
A career spanning the evolution of Dynamics (from 4.0/2011 to modern D365 Cloud).
Functional Mastery:
Advanced configuration of D365 Sales, Power Automate, and Power Pages. Expertise in the
Microsoft Cloud for Healthcare
is highly preferred.
Defect & Quality Management:
Proven track record in "Straighten Defection" (Zero-defect delivery) through rigorous UAT, automated testing strategies, and robust DevOps pipelines.
Data Strategy:
Expertise in complex data migration from legacy CRM/Mainframe systems to D365, ensuring data integrity and historical continuity for member records.
Experience & Education
Project Portfolio:
Must have led at least 3–4 full-lifecycle D365 implementations for Top-50 US Health Plans or Global Payers.
Education:
Bachelor’s degree in healthcare administration, CS, or MBA.
Certifications:
Microsoft Certified: Dynamics 365 Sales Functional Consultant Associate and Power Platform Solution Architect Expert.
Seniority level Director
Employment type Contract
Job function Engineering, Management, and Project Management
Industries IT Services and IT Consulting
#J-18808-Ljbffr